MS. KATHLEEN MARY MCDERMOTT (NPI# 1760637474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760637474 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN MARY MCDERMOTT |
| Credential | PMHNP, APRN BC |
| Practice Address |
456 Elm Ave Long Beach CA 90802-2426 |
| Practice Telephone | 5624376717 |
| Practice Fax Number | 5622850135 |
| Mailing Telephone | 5624376717 |
| Mailing Fax Number | 5622850135 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
16495 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306262126 | Kathleen Mcdermott | Developmental Therapist | 974 W 35th Pl, Unit 606, Chicago, IL 60609-1769 | 2014-03-17 |
| 1386791952 | Kathleen Ruth Mcdermott | Dentist | 4907 Sandhill Dr Ste B, Sugar Land, TX 77479-5352 | 2007-01-04 |
| 1093117475 | Kathleen Mcdermott | Speech-Language Pathologist | 200 S Keowee St, Dayton, OH 45402-2242 | 2014-09-17 |
| 1215351168 | Kathleen Mcdermott | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217 | 2014-02-13 |
| 1134451198 | Kathleen Ann Mcdermott | Registered Nurse | 614 Clock Tower Commons, Brewster, NY 10509-4064 | 2010-02-02 |
| 1376787325 | Kathleen Mcdermott | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2009-04-21 |
| Street Address |
456 ELM AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649304783 | Esther Wang | Social Worker | 456 Elm Ave, Long Beach, CA 90802-2426 | 2007-03-14 |
| 1942811666 | Adewole Williams | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2020-08-14 |
| 1073143012 | Aubree Skyler Ocana | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2020-01-17 |
| 1235773045 | Parchae Heard | Licensed Psychiatric Technician | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-11-05 |
| 1215579917 | Jasmine Michelle Hernandez | Case Manager/Care Coordinator | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-10-14 |
| 1326699554 | Matthew Brett Ambrose | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-29 |
| 1659920866 | Melissa A Reyna | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-10 |
| 1952950446 | Bradley I Hinds | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-06 |
| 1578112447 | Cora Maxwell Orrett | Registered Nurse | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-09-04 |
| 1245888726 | Evan Brown Kuchel | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1851458913 | Maryann B Powers | Nurse Practitioner | 59 W Olive St, Long Beach, NY 11561-3410 | 2007-01-01 |
| 1710085428 | Julie Valins | Nurse Practitioner | 871 E Park Ave, Long Beach, NY 11561-2709 | 2006-09-20 |
| 1083673545 | Shannon Kathryn Gilmer | Nurse Practitioner | 4013 Beatline Rd Ste A, Long Beach, MS 39560-4135 | 2006-03-22 |
| 1508825761 | Jill Schmidt | Nurse Practitioner | 3416 Fela Ave, Long Beach, CA 90808-3209 | 2006-03-17 |
| 1295385581 | Adaobi Judith Afonta | Nurse Practitioner | 333 W Broadway Ste 310, Long Beach, CA 90802-4438 | 2019-09-18 |
| 1164088944 | Jessica Gerner Vadovicky | Nurse Practitioner | 4201 Long Beach Blvd Ste 203, Long Beach, CA 90807-2020 | 2019-05-16 |
| 1700399524 | Isis Alexandra Acosta | Nurse Practitioner | 200 Oceangate Ste 100, Long Beach, CA 90802-4317 | 2017-11-15 |
| 1225565104 | Sherwin Imperio | Nurse Practitioner | 4525 E Atherton St, Long Beach, CA 90815 | 2017-05-22 |
| 1528593340 | Diane Catherine Defilippo Nurse Practitioner In Psychiatry Pllc | Nurse Practitioner | 126 E Park Ave, Long Beach, NY 11561-3510 | 2017-04-30 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
Please comment or provide details below to improve the information on MS. KATHLEEN MARY MCDERMOTT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.